HTML Report for http://www.rexhealth.com/rh/patients-visitors/billing/

<!DOCTYPE html> <html lang="en-US"> <!-- ====================================================================== --> <!-- Copyright (c)1998 - 2024 Geonetric, Inc. and UNC Health Care. --> <!-- All rights reserved. http://www.geonetric.com/ --> <!-- ====================================================================== --> <head id="VsMasterPage_HtmlHeader"> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <!-- meta content-type added by WebControls.PageAdapter in ~/App_Browsers --> <script type="text/javascript"> //<![CDATA[ window['VitalSite'] = { "page": { "Referrer": null, "Method": "GET", "IsPostBack": false, "StatusCode": 200, "Status": "200 OK" }, "mapBrowserApiKey": "AIzaSyD3d9WsG6f5gxpNhx9AT9zI7A5PrVmlPWc", "taxonomy": [ { "FacetId": "62d4f7c7-dad5-436c-96c3-51303f564200", "FacetAttributes": 0, "FacetName": "Regions", "FacetPropertyName": "Regions", "Terms": [ { "TermId": "0153f28b-d737-e411-ac68-2c768a4e1b84", "Name": "UNC REX Healthcare" } ] } ] }; //]]> </script> <link type="text/css" rel="preload" as="style" onload="this.onload=null;this.rel='stylesheet'" href="/css-min/shared/2021-templates/2021-system.css" /> <noscript> <link type="text/css" rel="stylesheet" href="/css-min/shared/2021-templates/2021-system.css" /> </noscript> <meta name="keywords" content="billing, pay bill, billing and financial assistance, insurance information, medicare or medicaid, contact us, online bill pay, accepted insurance, eligible insurance, insurance plans, valid insurance" /> <meta name="description" content="Use these resources about insurance information, financial assistance, online bill payments and contact information in order to pay your UNC REX Healthcare bill." /> <meta name="copyright" content="(c)1998-2024 Geonetric. All Rights Reserved." /> <meta name="viewport" content="width=device-width, initial-scale=1" /><!-- This is needed to keep the iphone from scrolling horizontally --> <!-- Favicons --> <link rel="shortcut icon" href="/favicon.ico" /> <!-- Scripts necessary in head to run first --> <script> document.documentElement.className = 'js'; </script> <!-- Web Fonts Moved to Script Manager--> <!-- This particular template has fonts installed in the css/fonts folder --> <!-- StyleSheets --> <link rel="canonical" href="https://www.rexhealth.com/rh/patients-visitors/billing/" /> <!-- This hidden (not seen) file should POST to: https://paymentsafe.experianhealth.com/_members/Financial/eCashiering/Hosting/Rex/default.asp NOTE: All fields are now active so pass in (blank) values even if not being used test CC number: 4111111111111111 exp date: any date in the future CVC: 123 *** ONLY hdnGID and AccountNumberRow1 are REQUIRED and they do NOT have to have a value. All others are optional. *** --> <form name="frmPost" action="https://paymentsafe.experianhealth.com/_members/Financial/eCashiering/Hosting/Rex/default.asp" method="POST"> <!-- Put Facility Unique Identifier here --> <input name="hdnGID" type="hidden" value="6eec9cd9-b38a-4a03-bdfd-28e292f8fd5f" /> <input id="hdnUID" name="hdnUID" type="hidden" value="518222" /> <!-- 0= Start at Make Payments screen 1= Start at Admin Actions screen --> <input name="hdnEntry" type="hidden" value="0"/> <!-- How should we display the form fields: --> <!-- 0=edit 1=readonly --> <input name="editAccount" type="hidden" value="0" /> <!-- 0=hide 1=show --> <input name="showEpisode" type="hidden" value="0" /> <!-- 0=hide 1=show --> <input name="showDiscount" type="hidden" value="0" /> <!-- 0=hide 1=show --> <input name="showAddRowButton" type="hidden" value="0" /> <!-- Facility, Department, Payment Type, Transaction Type --> <!-- 0-Inherit from GUID hide dropdown 1-Display dropdown default to GUID facility --> <input name="showFacility" type="hidden" value="0" /> <!-- 0-Inherit from GUID hide dropdown 1-Display dropdown default to GUID department --> <input name="showDepartment" type="hidden" value="0" /> <!-- 0-Single Payment hide selections 1-Payment Plan hide selections 2-Display both default to Payment --> <input name="showPaymentType" type="hidden" value="0" /> <!-- 0-Show Single Payment option 1-Show GL Payment option 2-Display both - default to Payment --> <input name="showTransactionType" type="hidden" value="0" /> <!-- Style sheet name/location - Each location can have their own mini-Style sheet if wanted/needed always the LAST field --> <input name="hdnStyle" type="hidden" value="/Rex/StyleSheet.css" /> </form> <script language="javascript" type="text/javascript"> $('a.Button').click(function() { frmPost.submit(); }); </script> <meta property="og:title" content="Billing & Financial Assistance | UNC REX Healthcare" /><meta property="og:image" content="https://www.unchealthcare.org/app/files/public/dbf8dd6e-561e-40fe-807e-9a8a24822a07/img-rex-UNC-REX-logo-RGB.png" /><meta property="og:description" content="Use these resources about insurance information, financial assistance, online bill payments and contact information in order to pay your UNC REX Healthcare bill." /><meta property="og:type" content="website" /><meta property="og:image:secure_url" content="https://www.unchealthcare.org/app/files/public/dbf8dd6e-561e-40fe-807e-9a8a24822a07/img-rex-UNC-REX-logo-RGB.png" /><meta property="og:url" content="https://www.rexhealth.com/rh/patients-visitors/billing/" /><meta name="CmsPageId" content="409" /><meta name="search_boost_words" content="billing, pay bill, billing and financial assistance, insurance information, medicare or medicaid, contact us, online bill pay, accepted insurance, eligible insurance, insurance plans, valid insurance" /> <!-- Script Name: unc web fonts account 1 --> <script type="text/javascript" src="//fast.fonts.net/jsapi/633dbc01-80a6-445c-9f0b-430387209ef5.js"></script> <!-- Script Name: Search Console Verification - Do not remove --> <meta name="google-site-verification" content="_f0NpIKIOm1PGhsmCp2F_KNIjsraXi1Ig9Ohgpvj-V4" /> <!-- Script Name: Search Console Verification - REX Healthcare --> <meta name="google-site-verification" content="-mTY1UczUH8IV2NEEY3aGz5mQZkhFoFiFVLRinyUhwQ" /> <!-- Script Name: CSS Styling for Logo --> <style type="text/css">.HospitalHeader #HeaderWrapTwo #Header.Two #Logo p img {height: 77px; width: none !important;} .HospitalHeader #HeaderWrapTwo #Header.Two #Logo {flex: initial !important;}</style> <!-- Script Name: Rex Freshpaint script --> <script type="text/javascript"> (function(c,a){if(!a.__SV){var b=window;try{var d,m,j,k=b.location,f=k.hash;d=function(a,b){return(m=a.match(RegExp(b+"=([^&]*)")))?m[1]:null};f&&d(f,"fpState")&&(j=JSON.parse(decodeURIComponent(d(f,"fpState"))),"fpeditor"===j.action&&(b.sessionStorage.setItem("_fpcehash",f),history.replaceState(j.desiredHash||"",c.title,k.pathname+k.search)))}catch(n){}var l,h;window.freshpaint=a;a._i=[];a.init=function(b,d,g){function c(b,i){var a=i.split(".");2==a.length&&(b=b[a[0]],i=a[1]);b[i]=function(){b.push([i].concat(Array.prototype.slice.call(arguments, 0)))}}var e=a;"undefined"!==typeof g?e=a[g]=[]:g="freshpaint";e.people=e.people||[];e.toString=function(b){var a="freshpaint";"freshpaint"!==g&&(a+="."+g);b||(a+=" (stub)");return a};e.people.toString=function(){return e.toString(1)+".people (stub)"};l="disable time_event track track_pageview track_links track_forms track_with_groups add_group set_group remove_group register register_once alias unregister identify name_tag set_config reset opt_in_tracking opt_out_tracking has_opted_in_tracking has_opted_out_tracking clear_opt_in_out_tracking people.set people.set_once people.unset people.increment people.append people.union people.track_charge people.clear_charges people.delete_user people.remove people group page alias ready addEventProperties addInitialEventProperties removeEventProperty addPageviewProperties registerCallConversion".split(" "); for(h=0;h<l.length;h++)c(e,l[h]);var f="set set_once union unset remove delete".split(" ");e.get_group=function(){function a(c){b[c]=function(){call2_args=arguments;call2=[c].concat(Array.prototype.slice.call(call2_args,0));e.push([d,call2])}}for(var b={},d=["get_group"].concat(Array.prototype.slice.call(arguments,0)),c=0;c<f.length;c++)a(f[c]);return b};a._i.push([b,d,g])};a.__SV=1.4;b=c.createElement("script");b.type="text/javascript";b.async=!0;b.src="undefined"!==typeof FRESHPAINT_CUSTOM_LIB_URL? FRESHPAINT_CUSTOM_LIB_URL:"//perfalytics.com/static/js/freshpaint.js";(d=c.getElementsByTagName("script")[0])?d.parentNode.insertBefore(b,d):c.head.appendChild(b)}})(document,window.freshpaint||[]); freshpaint.init("84ea23e0-4ae8-4d8f-b667-1b18c7edd94e"); freshpaint.page(); </script> <title> Billing & Financial Assistance | UNC REX Healthcare </title> <script>!function(e){var n="https://s.go-mpulse.net/boomerang/";if("False"=="True")e.BOOMR_config=e.BOOMR_config||{},e.BOOMR_config.PageParams=e.BOOMR_config.PageParams||{},e.BOOMR_config.PageParams.pci=!0,n="https://s2.go-mpulse.net/boomerang/";if(window.BOOMR_API_key="HSR23-V4DHV-73DCZ-4EUTG-AQEQG",function(){function e(){if(!o){var e=document.createElement("script");e.id="boomr-scr-as",e.src=window.BOOMR.url,e.async=!0,i.parentNode.appendChild(e),o=!0}}function t(e){o=!0;var n,t,a,r,d=document,O=window;if(window.BOOMR.snippetMethod=e?"if":"i",t=function(e,n){var t=d.createElement("script");t.id=n||"boomr-if-as",t.src=window.BOOMR.url,BOOMR_lstart=(new Date).getTime(),e=e||d.body,e.appendChild(t)},!window.addEventListener&&window.attachEvent&&navigator.userAgent.match(/MSIE [67]\./))return window.BOOMR.snippetMethod="s",void t(i.parentNode,"boomr-async");a=document.createElement("IFRAME"),a.src="about:blank",a.title="",a.role="presentation",a.loading="eager",r=(a.frameElement||a).style,r.width=0,r.height=0,r.border=0,r.display="none",i.parentNode.appendChild(a);try{O=a.contentWindow,d=O.document.open()}catch(_){n=document.domain,a.src="javascript:var d=document.open();d.domain='"+n+"';void(0);",O=a.contentWindow,d=O.document.open()}if(n)d._boomrl=function(){this.domain=n,t()},d.write("<bo"+"dy onload='document._boomrl();'>");else if(O._boomrl=function(){t()},O.addEventListener)O.addEventListener("load",O._boomrl,!1);else if(O.attachEvent)O.attachEvent("onload",O._boomrl);d.close()}function a(e){window.BOOMR_onload=e&&e.timeStamp||(new Date).getTime()}if(!window.BOOMR||!window.BOOMR.version&&!window.BOOMR.snippetExecuted){window.BOOMR=window.BOOMR||{},window.BOOMR.snippetStart=(new Date).getTime(),window.BOOMR.snippetExecuted=!0,window.BOOMR.snippetVersion=12,window.BOOMR.url=n+"HSR23-V4DHV-73DCZ-4EUTG-AQEQG";var i=document.currentScript||document.getElementsByTagName("script")[0],o=!1,r=document.createElement("link");if(r.relList&&"function"==typeof r.relList.supports&&r.relList.supports("preload")&&"as"in r)window.BOOMR.snippetMethod="p",r.href=window.BOOMR.url,r.rel="preload",r.as="script",r.addEventListener("load",e),r.addEventListener("error",function(){t(!0)}),setTimeout(function(){if(!o)t(!0)},3e3),BOOMR_lstart=(new Date).getTime(),i.parentNode.appendChild(r);else t(!1);if(window.addEventListener)window.addEventListener("load",a,!1);else if(window.attachEvent)window.attachEvent("onload",a)}}(),"".length>0)if(e&&"performance"in e&&e.performance&&"function"==typeof e.performance.setResourceTimingBufferSize)e.performance.setResourceTimingBufferSize();!function(){if(BOOMR=e.BOOMR||{},BOOMR.plugins=BOOMR.plugins||{},!BOOMR.plugins.AK){var n=""=="true"?1:0,t="",a="ykdvga27mrxvazrkjy4a-f-b828bbda8-clientnsv4-s.akamaihd.net",i="false"=="true"?2:1,o={"ak.v":"37","ak.cp":"1408238","ak.ai":parseInt("855847",10),"ak.ol":"0","ak.cr":110,"ak.ipv":4,"ak.proto":"h2","ak.rid":"7b0b2f5f","ak.r":38276,"ak.a2":n,"ak.m":"b","ak.n":"essl","ak.bpcip":"194.135.83.0","ak.cport":50440,"ak.gh":"95.100.111.76","ak.quicv":"","ak.tlsv":"tls1.3","ak.0rtt":"","ak.csrc":"-","ak.acc":"","ak.t":"1714048568","ak.ak":"hOBiQwZUYzCg5VSAfCLimQ==RG16u2hp4+77BwRaX5gRrexvX+bNVl+MDzv9VYUWMFz3CHTRrI2bG2UtDInNP89c6W7XhPwkaSRk/SsCTJSSr4OtmhYyFbK8t4+uq1hcOvZqbzWH3T6kZ4ZrdqTxOszR7T1DLsy3X4S8MNejBqIQT5GmKba5p71INm1d0iUa5aDz+uo1cPPJLQBHQCoXALws4CthMJ3/3HvLL7oUs+SECzeWfLRQFXFMOJySsyRXRIOZDXygg6dwq9O8HVnpWJsxK5AtaqLH1Yi+Gktc1ecu5gDSYizYjtlLcrYD1tMQOBCMArSga4NQBtE8rq032bPLO6QZKaZV3SaAiSyGc2igF4t16kfjvnb/9v2B5Wh7DqkcVKX7NF1z2+FpWp92addTaHhHmMjkkJjZVfRSOt6Pjmf1URB1lvJEarBpzYRDIno=","ak.pv":"13","ak.dpoabenc":"","ak.tf":i};if(""!==t)o["ak.ruds"]=t;var r={i:!1,av:function(n){var t="http.initiator";if(n&&(!n[t]||"spa_hard"===n[t]))o["ak.feo"]=void 0!==e.aFeoApplied?1:0,BOOMR.addVar(o)},rv:function(){var e=["ak.bpcip","ak.cport","ak.cr","ak.csrc","ak.gh","ak.ipv","ak.m","ak.n","ak.ol","ak.proto","ak.quicv","ak.tlsv","ak.0rtt","ak.r","ak.acc","ak.t","ak.tf"];BOOMR.removeVar(e)}};BOOMR.plugins.AK={akVars:o,akDNSPreFetchDomain:a,init:function(){if(!r.i){var e=BOOMR.subscribe;e("before_beacon",r.av,null,null),e("onbeacon",r.rv,null,null),r.i=!0}return this},is_complete:function(){return!0}}}}()}(window);</script></head> <!-

pt></head> <!-- Page Title --> <body id="ThreeColumn" class="Interior System2021 Map"> <no

wsers --> <script type="text/javascript"> //<![

wsers --> <script type="text/javascript"> //<![

</form> <script language="javascript" type="text/javascript"> $

</form> <script language="javascript" type="text/javascript"> $

lling/" /><meta name="CmsPageId" content="409" /><meta

lling/" /><meta name="CmsPageId" content="409" /><meta

t="409" /><meta name="search_boost_words" content="billing, pay bill, billing and financial assistance, insurance information, medicare or medicaid, contact us, online bill pay, accepted insurance, eligible insurance, insurance plans, valid insurance" /> <!--

t="409" /><meta name="search_boost_words" content="billing, pay bill, billing and financial assistance, insurance information, medicare or medicaid, contact us, online bill pay, accepted insurance, eligible insurance, insurance plans, valid insurance" /> <!--

unt 1 --> <script type="text/javascript" src="//fast.fonts.net/jsapi/633dbc01-80a6-445c-9f0b-430387209ef5.js"></scri

emove --> <meta name="google-site-verification" content="_f0NpIKIOm1PGhsmCp2F_KNIjsraXi1Ig9Ohgpvj-V4" /> <!--

emove --> <meta name="google-site-verification" content="_f0NpIKIOm1PGhsmCp2F_KNIjsraXi1Ig9Ohgpvj-V4" /> <!--

hcare --> <meta name="google-site-verification" content="-mTY1UczUH8IV2NEEY3aGz5mQZkhFoFiFVLRinyUhwQ" /> <!--

hcare --> <meta name="google-site-verification" content="-mTY1UczUH8IV2NEEY3aGz5mQZkhFoFiFVLRinyUhwQ" /> <!--

Logo --> <style type="text/css">.Hospi

Logo --> <style style="background-color: #ffff80;">type="text/css">.Hospi

dth: none !important;} .Ho

cript --> <script type="text/javascript"> (func

</script> <title> Bill

oscript> <script type="text/javascript" src="/scripts/jquery-3.7.0.min.js"></scri

</script> <script type="text/javascript" src="/scripts/jquery-migrate-3.4.1.min.js"></scri

urvey --> <script type="text/javascript" src="/gsight/gsight.js"></scri

> <div class="SearchContent" role="Search">

"> <button class="CartButton" aria-checked="false" role="button" type="button"><span>

"> <button class="CartButton" aria-checked="false" role="button" type="button"><span>

> </div> <script type="text/javascript"> //<![

script> <script src="/WebResource.axd?d=NGVI3ad-iUcxfUjC3GNnF918y46YtGy5USsBrBAzDTy3MYmmqXnfJAxpyGZqohBKh3ZM_QcZRFfOC9I0SRDzqZK-9QQ1&t=638459644569584809" type="text/javascript"></scri

script> <script src="/WebResource.axd?d=zG7zRgz8LZqjZkDAjM0oBHtGa1FAieWJUFZ9QfFqh4vC7yXUwHjTm1PU3tu7KcRX7-1NVqSZx3M95FCVSqQ-CFB0r2lN72jKs2YmsPbR2AqxxUTVZS-QKpUuclUsZeEVb3RjEDiaVjgNU1Zc8dwRWB3AI7axV7w19KWVz59kFfmyfsduiMTHTOf-FplAcxyM8x8eOg2&t=638399826380000000" type="text/javascript"></scri

</script> <script type="text/javascript"> //<![

/script> <script src="/ScriptResource.axd?d=2chWOmcmcmz6qhrKkEVyJq0ulU2-QcO9aK4Axts3PD1545pjaC8KxwDX5DZFYmBOM7mYt0vuy3WI7Oiip9tEkmgdQoVllOAZjB5oF3yrSrSoO1zDgxJzqfTzKe0U89P75BF6ywu6xx_cimhbD2CG0poLcNc1&t=74258c30" type="text/javascript"></scri

</script> <script src="/ScriptResource.axd?d=A5V7KqHZ3M1ejzpapcqWEd0a2hOJlmTo88CO2g5vt5oMaIM8Pfay7TpQBXbtHr5UVXvQ-nucT61LE_dVaiu5vKt0zlsG9MVQIenotmdSEEVtBgn7bfjKjgAa6t_JCePgoMymXPZELukquwbqDRzJr05AoLaUaPNqwJFegSb7pHM9SDwa0&t=74258c30" type="text/javascript"></scri

</script> <script src="../../../scripts/search/autocomplete.js" type="text/javascript"></scri

</div> <script type="text/javascript"> //<![

/script> <script type="text/javascript" src="/WebResource.axd?d=MCZKBm7wEcPqu3izFo_b5g3wymx8Fs2WMCTJxIVTLI76DYqLftc0KzvOXHKcSC5ddLt35c42eRtO_FAON1eVN89IGS4vhnGQZnLfJGRpiUyHKRBUPK4sss4kPx_0phGJK8QKhg2&t=638399826380000000"></scri

</script> <script type="text/javascript"> //<![

ndif]--> <script type="text/javascript" src="/WebResource.axd?d=a9z7n14M47E9_BMIztmGcHwyfel8Fuptir9LncJl50_yUlMM6j5WpfbEjvKUpbIUSbQXZ3NaumROhmNspQQnhRxWZvsNSomBONYQ5tQh6KtblT9e5ndMvNosttfeLQsn7LIKc-Jx4KpnTGkglC8K55gPCLM1&t=638399826380000000"></scri

</script> <script type="text/javascript"> //<![